Agazarova, Mazal

Agazarova, Mazal is an individual health care provider with primary practice located at 3003 Avenue X Apt 5F, Brooklyn NY 11235-1249. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Agazarova, Mazal can be contacted via phone (718) 908-6630.

Contact Information

Primary practice address
3003 Avenue X Apt 5F Brooklyn NY 11235-1249
Phone: (718) 908-6630
Fax: (718) 975-8637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 032297 New York

Profile Details

NPI number 1508188087
LBN Legal business name Agazarova, Mazal
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2010
Last updated Oct 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508188087 NPPES
New York Other LICENSE# 032297-1

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